Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.60 / $1,773.00 / $9,504.00	Facility		$48.60	$1,773.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $53.74 / $92.19	Professional		$39.20	$53.74	$92.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.82 / $50.96 / $87.76	Professional		$38.82	$50.96	$87.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.39 / $46.07 / $57.02	Facility		$38.39	$46.07	$57.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $51.62 / $55.33	Professional		$51.62	$51.62	$55.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $63.00 / $97.95	Professional		$45.20	$63.00	$97.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $126.47 / $126.47 / $126.47	Facility		$126.47	$126.47	$126.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $46.06 / $63.94 / $98.32	Professional		$46.06	$63.94	$98.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.87 / $78.80 / $105.09	Professional		$58.87	$78.80	$105.09
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.84 / $63.36 / $106.44	Professional		$44.84	$63.36	$106.44